Individual provider · Type 1 NPI
Mark David Carlson, MS DDS
Oral and Maxillofacial Surgery (Dentist) · Tacoma, WA
NPI number
1083670780
Active
Practice location
1550 South Union Avenue, Suite 250
Tacoma, WA 98405-1946
Fax (253) 572-4769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DE00005551 (WA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1083670780
Mark David Carlson, MS DDS's National Provider Identifier is 1083670780, issued on Apr 22, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tacoma, WA. The record was last updated on Jul 13, 2026.